Matenda a Barrett - zizindikiro ndi mankhwala

Matenda a Barrett ndi matenda omwe amachititsa kuti matenda a reflux asokonezeke komanso amadziwika ngati akatswiri. Pachikhalidwe ichi, kusintha kwa epithelial wosanjikiza mucosa kumadziwika, kumadziwika ndi kupezeka kwa chinthu chosagwirizana ndi chizoloŵezi cha epllium epithelium mmalo mwa mapulogalamu ambiri (cylindrical epithelium kawirikawiri amatanthauza matumbo mumcosa). Izi m'malo mwa maselo zimagwirizanitsidwa ndi kuwonongeka kosatha kwa mucous membrane ya mimba ndi chapamimba acids, zomwe zimayambitsa njira zopweteka zotupa.

Zizindikiro za mtundu wa Barrett

Matenda a Barrett sangathe kupezeka kokha pamaziko a chithunzi chachipatala, Matendawa alibe zizindikiro zenizeni. Koma kawirikawiri odwala omwe ali ndi matendawa amapanga madandaulo otsatirawa:

• Kuchitika kwafupipafupi kowopsa, komwe kumadetsa nkhaŵa kwa nthawi yaitali;
• Kuwombera mobwerezabwereza (mpweya, wowawasa, kupweteka);
• kumangokhalira kupwetekedwa pammero panthawi ya chakudya, kuwonjezereka ndi mafunde ndi kugona pansi;
• kulawa kowawa pakamwa;
• Kusokonezeka kwa ntchito yomeza (panthawi ya chakudya, ndi kumeza);
• kusanza (nthawizina ndi kusakaniza mwazi);
• chisokonezo;
• kupweteka m'dera la epigastric, limene lingathe kuchitika atadya kapena osadya chakudya;
• chowombera kawirikawiri ;
• kumverera kwa mtanda pammero;
• chisokonezo;
• kulemera kwa kulemera.

Ngati akuganiza kuti ali ndi matenda, zida zapadera ndi ma laboratory amayikidwa, zomwe zimakhala zochepa kwambiri m'mimba ndi m'mimba.

Kodi mitsempha ya Barrett ikuchiritsidwa?

Odwala omwe amapezeka kuti ali ndi matendawa amakhala oyenera komanso ochiritsidwa mwamsanga kuti athetse kusintha kwa kusintha kosasinthika mu minofu ya mucosa ya mimba komanso maonekedwe a maselo a khansa. Mankhwalawa amachitidwa poyang'aniridwa nthawi zonse pogwiritsa ntchito chithunzithunzi, chomwe chimapangitsa kuti zitha kuwona momwe ntchito zothandizira zitha kukhalira, komanso kuti pakhale nthawi yodziwitsa mavuto. Chizindikiro cha zizindikiro za bongo la Barrett chimadalira nthawi ya chithandizo komanso kutsatira malamulo onse.

Mankhwala osamala a Barrett ndi omwe amachititsa kuchepa kwa reflux ya gastroesophageal, kuteteza mucosa wa mimba, kuteteza asidi m'mimba, kuchotsa zizindikiro zosasangalatsa. Zachigawo zazikulu za mankhwala ochiritsira akufotokozedwa pansipa.

Zakudya ndi zakudya

Odwala akulimbikitsidwa:

1. Pewani kugwiritsa ntchito zowawa, zokazinga, zokometsera, zophika, marinades, chokoleti, zomwe zimayambitsa mpweya.
2. Musadye zakudya zotentha ndi kuzizira.
3. Kudya zakudya zazing'ono 5-6 pa tsiku.

Kutaya zizoloŵezi zoipa

Zimatanthauza kusuta, kumwa mowa. N'kofunikanso kuonetsetsa kuti maseŵera olimbitsa thupi ndi oyenera, kupeŵa kupanikizika kwambiri pa makina osokoneza mimba.

Mankhwala

Mankhwala awa ndi awa:

• mabomba a proton pump;
• antacids;
• maantibayotiki (motsutsana ndi mabakiteriya a Helicobacter pylori akapezeka);
• mapuloteni ;
• prokinetics;
• alginates.

Kuchiza opaleshoni kwa malo a Barrett

Ngati palibe njira yodziwiritsira ntchito komanso njira yovuta ya matendawa, chithandizo cha opaleshoni chimaperekedwa, pomwe malo omwe amachititsa kuti thupi lawo lisasokonezeke mumatenda amachotsedwa. Kwenikweni, chithandizo chochipatala cha kafukufuku wa Barrett chimapangidwa ndi njira zowonongeka zomwe zimakhala zochepa. Njira zamakono zogwirira ntchitoyi ndizochotsa mchere komanso kutuluka kwa laser.

Mankhwala a Barrett ndi mankhwala ochiritsira

Pali njira zambiri zochizira matendawa, omwe angagwiritsidwe ntchito ndi chilolezo cha dokotala. Njira yodziwika ndi yothandiza kwambiri ya mankhwala ndizo kulandira mafuta a m'nyanja ya buckthorn, omwe ndi opindulitsa ku mpanda wa mimba. Mafuta a Sea-buckthorn amatengedwa kawiri kawiri ndi supuni ya tiyi musanadye chakudya ndi miyezi 1-2.